| East State Mht Llc | |
|
506 S 6th St Leesville LA 71446-4482 | |
| (972) 616-4702 | |
| Not Available |
| Full Name | East State Mht Llc |
|---|---|
| Speciality | Orthopaedic Surgery - Pediatric Orthopaedic Surgery |
| Location | 506 S 6th St, Leesville, Louisiana |
| Authorized Official Name and Position | David Steiner (OWNER) |
| Authorized Official Contact | 3373922330 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| East State Mht Llc 1515 Heritage Dr Suite 110 Mckinney TX 75069-3256 Ph: (972) 616-4702 | East State Mht Llc 506 S 6th St Leesville LA 71446-4482 Ph: (972) 616-4702 |
| NPI Number | 1417371279 |
|---|---|
| Provider Enumeration Date | 02/13/2014 |
| Last Update Date | 03/06/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417371279 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | D6686 (Texas) | Secondary |
| 207XP3100X | Orthopaedic Surgery - Pediatric Orthopaedic Surgery | MD.06170R (Louisiana) | Primary |
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